Displaying 222941-222950 of 1611142 results.
ID:
222941
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222942
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222943
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222944
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222945
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222946
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222947
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222948
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222949
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222950
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
790489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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